JARED LEE MOUW (PA-C) – Physician Assistant, NPI 1558047191
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for JARED LEE MOUW (PA-C)
916 4th Ave SW
Pipestone, MN 561641890
Phone: (507) 825-5811
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Type: Mailing
20 S PLUM ST
VERMILLION, SD 570693346
Phone: (605) 677-3700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231026001354 | I | Physician Assistant | MN | TBD |
| I20240430003694 | I | Physician Assistant | SD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | SD | |
| Orthopedic Surgery | GA | |
| P O D I A T R Y | IA | |
| - | SD | |
| Nurse Practitioner | SD | |
| Family Practice | SD | |
| Nurse Practitioner | SD | |
| Family Practice | SD | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Physical Therapist In Private Practice | SD |
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